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Navy & Marine Corps Medical News (MN-00-16) - April 21, 2000 

The Navy Bureau of medicine and Surgery distributes Navy 
and Marine Corps Medical News (MEDNEWS) to Sailors and 
Marines, their families, civilian employees and retired 
Navy and Marine Corps families . 

MEDNEWS is a weekly compendium of news and information 
contributed by commands throughout the Navy Medical 
department. Information contained in MEDNEWS stories is 
not necessarily endorsed by BUMED, nor should it be 
considered official Navy policy. 

To achieve maximum medical information distribution, 
your command is highly encouraged to distribute MEDNEWS to 
ALL HANDS electronically, include MEDNEWS in command 
newspapers, newsletters and radio and TV news programs. 

Stories in MEDNEWS use these abbreviations after a Navy 
medical professional' s name to show affiliation: MC — 
Medical Corps (physician) ; DC - Dental Corps; NC - Nurse 
Corps; MSC - Medical Service Corps (clinicians, researchers 
and administrative managers) . Hospital Corpsmen (HM) and 
Dental Technician (DT) designators are placed in front of 
their names. 


Contents for this week's MEDNEWS: 

Headline: Prevention classes for fleet sailors a hit 
Headline: Pensacola praised for role in training medical students 
Headline: Anthrax program officials ready new educational products 
Headline: Feds study long— term, other anthrax vaccine effects 
Headline: Navy medical team supports exercise in Cameroon 
Headline: Jacksonville administrator earns service award 
Headline: Anthrax question and answer 
Headline: TRICARE question and answer 

Headline: Healthwatch: DoD to phase out smoking at recreation facilities 


Headline: Prevention classes for fleet sailors a hit 
By Bill Doughty, U. S. Naval Hospital Yokosuka 

YOKOSUKA, Japan — It's been said that an ounce of 
prevention is worth a pound of cure. At Yokosuka 's 
hospital they're teaching Fleet sailors that less than an 
ounce of prevention can prevent 8 pounds of baby. 

Yokosuka 's hospital began classes recently for the Fleet 
on gender-specific health issues and human sexuality . The 
goal is to make both male and female sailors aware of how 
to prevent pregnancies and Sexually Transmitted Diseases, 
also known as STDs . 

"Actually, they're starting out with women-only for 
now, " said Interior Communications Seaman Apprentice 
Michelle Griffin," and then they're going to have the men 
come in also, which I think will be even better. Because 
men just don 't know. They put it all off on the women to 
get the information. " 

The Hospital has conducted similar classes with ships ' 
medical departments . Recently, Independent Duty Corpsmen 
and other health care providers conducted pap tests and 
health counseling on board USS Kitty Hawk (CV 63) . 

What makes the new classes at the hospital different is 
the interactive style group learning and powerful role- 
playing activities. 

"When you are sat down and someone tells you, 'You have 
an STD' or 'You have AIDS' or 'You're pregnant. ' It's a 
big shock, " said Griffin, referring to the realistic role- 

Sailors attending the class pick a number, which 
corresponds to a diagnosis for which they receive 
"counseling" from the nurse in front of the class. They 
may be informed they have herpes, they're pregnant, or 
they're the one-in- 

10,000 who get the ultimate bad news — HIV/AIDS. 

The classes are only three hours long and provide an 
opportunity for sailors and hospital staff members to get 
to know each other. 

"It takes a while to build up a relationship with 
anyone. [This class] is to let them get to know us, to let 
them know we are very interested in their lives aboard the 
ships," according to women's health nurse practitioner, 
Lt.Cmdr. Lauren Rodier, MSC. "That type of personal 
contact I think helps us in^rove the learning curve, and 
that ' s our goal . " 

Signalman 2nd Class (SW) Kecia Eleby says the learning 
curve is steep for some of the people just joining the 
Navy. "We have the young generation coming into the 
military right now, 17, 18, with a high school diploma, and 
haven't had the right breakdown on what it takes to become 
a woman in regards to pregnancy and all." 

At the hospital' s recent classes, instructors provided 
information on the costs of budgeting for a baby and what 's 
involved in long term child care. 

Eleby said, "People right now in the younger generation 
are getting pregnant for the wrong reasons — to get out of 
deployments . It should be more planned and understanding 
responsibility . This child has to be with you for 21 years 
and, you know, the rest of your life. It ' s not just having 
it to prevent a deployment . " 

She said, "I like this training. It was great and it 
covered a lot . And I think everybody should go, male or 
females. " 


Headline: Pensacola praised for role in training medical 

story by JOl Maria Christina Mercado and Rod Duren, Naval 
Hospital Pensacola 

PENSACOLA, Fla. — A former Surgeon General of the Navy, 
who is current president of the Department of Defense's 
only medical school, recently praised Naval Hospital 
Pensacola for its role in the annual training of medical 
students . 

Vice Adm. James A. Zimble, MC, who was the Navy's 30th 
surgeon general, presented a recognition plaque to Capt. 
R.D. Hufstader, MC, commanding officer of the hospital, for 
it's role in the annual training of third— year Uniformed 
Services University of Health Sciences, or USUHS, medical 
students . 

Zimble said that patients get better care in settings 
where doctors teach and give future doctors hands-on 
experience at the same time. 

"The atmosphere of academia, of scholarly pursuit of 
instilling an inquisitive mind are absolutely essential to 
making sure the patient gets the latest and very best in 
appropriate care, " said Zimble, who has served as USUHS 
president since 1991. 

USUHS is a government -funded medical school located in 
Bethesda, Md. It has been training physicians for the 
Army, Navy, Air Force and Public Health Service since 1976. 
Naval Hospital Pensacola began it association with USUHS in 

One of those first USUHS students to train at the 
Pensacola hospital was Cmdr. Dennis Rowe, MC, a family 
practice physician who now serves as undergraduate medical 
education coordinator at Pensacola. Rowe, a Navy flight 
surgeon, is responsible for all undergraduate medical 
school students who train at the hospital. 

USUHS students come to the Pensacola hospital as third- 
year medical students and spend six weeks at a time 
assigned to a staff doctor. The hospital hosts two or 
three students throughout the year. For the student, the 
6— week assignment in Pensacola is one of eight rotations 
they will make throughout the country during their third 
year at USUHS. Students are on the road for 46 weeks, 
making stops at some 30 military medical facilities around 
the country. 

"I have enjoyed working here in Pensacola. The staff has 
been very friendly, and helpful, as we transition into our 
family practice rotation, " said Ensign David Kay, one of 
the two current USUHS students doing a rotation in the 
Family Practice Clinic here. 

Kay, a native of Hatboro, Penn., decided to attend 
medical school after four years as an F—14 naval flight 
officer serving with squadrons aboard aircraft carriers. 

"It 's a great opportunity, " the former naval aviator 
said. "We get to work in different medical specialties 
throughout the year, which allows us to decide what field 
we 'd like to specialize in during our fourth year. " 


Headline : Anthrax program officials ready new educational 

By Staff Sgt . Kathleen T. Rhem, USA, American Forces Press 

WASHINGTON — DoD anthrax experts are increasing their 
efforts to get service members and their families "good, 
credible information before they get disinformation" from 
other sources. 

Army Col . Randy Randolph, director of the Anthrax 
Vaccine Immunization Program Agency, said his organization 
is currently doing four things to improve the vaccine 
education program. 

The first and perhaps farthest— reaching step is a 23— 
minute video going out to the services by late April or 
early May. "We decided we needed a training product that 
could be sent out worldwide that all commanders could use 
to inform service members and family members about the 
anthrax program, " Randolph said. 

He said the video includes information about the threat 
anthrax poses to U.S. service members, the lethality of 
anthrax, and the vaccine's safety, as well as addressing 
rumors circulating and damaging the program's credibility. 

"It introduces some experts in DoD and many others 
outside of DoD who talk about these rumors and the 
credibility of the vaccine program, " Randolph said. He 
said the video was designed with 18- to 25-year-olds in 
mind and will be mandatory watching for all service members 
within fiscal 2000. 


Headline: Feds study long-term, other anthrax vaccine 


By Staff Sgt . Kathleen T. Rhem, USA, American Forces Press 

WASHINGTON — Federal agencies are collaborating in a 
major study into long— term health effects of the anthrax 
vaccine used by DoD, Deputy Defense Secretary Rudy de Leon 
testified April 13 before the Senate Armed Services 

The Centers for Disease Control in Atlanta heads the $20 
million, multiyear study and is working with DoD, the Food 
and Drug Administration and the National Institutes of 
Health, de Leon said in a prepared statement . The study 
will document possible long-term effects and examine risk 
factors for adverse reactions and dosing. 

"The DoD leadership . . . are aware of and respect the 
concerns expressed by a small number of service members 
about possible long-term health effects, " de Leon said. At 
least 12 studies involving more than 16, 000 vaccine 
recipients have been conducted and show common short— term 
side effects include local injection site reactions, 
headache, slight fever, joint pain and fatigue. 

Program officials have said women seem nearly twice as 
likely as men to have a local reaction at the injection 
site. Currently, the anthrax vaccine is injected 
subcutaneously, or directly below the skin. The new CDC 
collaboration will seek to determine if the vaccine is as 
safe and effective if injected into muscle, which may 
reduce localized reactions, a DoD anthrax immunization 
program official said. 

The study will also look at whether the current six— dose 
regimen could be cut to five or even four shots and whether 
individuals need annual booster shots, the official said. 

A second, separate long-term study is following 570 test 
and control subjects previously employed at Fort Detrick, 
Md. De Leon said the purpose of the study, begun in 1996, 
is to examine the effects of receiving multiple vaccines , 
including the one for anthrax. 

"All volunteers signed an approved informed— consent 
document . The study media included a nine— page health 
history questionnaire, extensive blood tests and 
urinalysis , " de Leon said in his testimony . "The 
questionnaire queries mental and physical conditions of 
progeny as well as the health of the volunteers. Study end 
points include symptoms, . . . diseases, [and] abnormal 
laboratory and urine tests. " 

In his testimony, the deputy secretary also told 
Congress that DoD urges all members who believe they've had 
an adverse reaction to report it through the FDA 's Vaccine 
Adverse Event Reporting System. 

"Not only are members encouraged to sutanit a report, but 
families or anyone personally aware of a situation can as 
well, " he said. "We listen. We are concerned. " 

Individuals can file FDA adverse event reports on DoD's 
anthrax Web at, or by calling the FDA's 
toll-free information line, 1-800-822-7967 . The site also 
presents current reporting statistics for DoD's anthrax 
immunization program. 

De Leon's statement reiterated DoD's resolve to 
vaccinate all service members in high— risk areas. 
"Currently, about a dozen nation states are known to 
possess or have in development a biological warfare 
capability . There is also evidence that a small number of 
terrorist groups appear to be interested in biological 
agents, " he said. "Of all known biological warfare agents, 
anthrax spores are the top choice . . . for germ warfare . " 

He said Iraq has admitted to producing anthrax spores 
and putting them into weapons. Furthermore, he said, the 
death of 64 people by anthrax in a 1979 accident at 
Sverdlovsk (now Ekaterinburg) , Russia, demonstrates the 
former Soviet Union's research with the organism. 

Related Site of Interest : 
http : / /www . : 80 /speeches / 2000/ s20000413- 
epsecdef . html 

Deputy Secretary of Defense Rudy de Leon, Prepared 
Testimony on Anthrax Vaccination Immunization Program, 

submitted to the Senate Armed Services Committee, April 13, 


Headline: Navy medical team supports exercise in Cameroon 
By Lt.j.g. Rod Salvador, MSC, US Naval Medical Clinics 
United Kingdom 

LONDON — Rampant disease and poor living conditions 
were among the problems encountered by Navy medical and 
dental teams participating in a recent joint military 
medical exercise in Cameroon, Africa. 

The Navy medical teams, along with other uniformed 
services, provided medical and dental support to villages 
of Cameroon, which is located on the Southeastern border of 
Nigeria just three degrees above the equator. 

The exercise provided field medicine experience and an 
introduction to a variety of opportunistic diseases, 
according to Lt. Cmdr. Frances Keller, NC, and Chief 
Hospital Corpsman (AW) Steven Jackson, from US Naval 
Medical Clinics London. 

Medical teams provided care to more than 18, 000 
villagers, some of whom travelled on foot for days just to 
wait in line to be seen briefly by medical or dental 
personnel . 

"The people were clean and proud, and most were 
barefoot, " said Keller . "They were suffering from an 
assortment of diseases such as worms, TB, malaria, cancer, 
HIV, gonorrhoea and malnutrition, among other maladies. 
All these diseases were seen in great numbers." 

Jackson said that when the team arrived at one of the 
villages there were dirty needles and syringes strewn in 
piles around the village' s hospital compound. Patients 
there exhibited all kinds of diseases as well as an 
assortment of vision problems. 

The reality of life in this area became clear one day 
when a man waiting in line to have his infant examined 
discovered that the baby had died. 

"The man, quietly and with great dignity, wrapped his 
child up and carried him away, " said Jackson . 

The team visited many villages. Convoys were formed 
daily to set up temporary medical units. By the end of 
each day, an average of 3, 000 patients had been seen and 
treated. Units replenished their own medical supplies on 
the tarmac to prepare themselves for the next village. The 
average temperature in Cameroon was 130 degrees Fahrenheit, 
and maintaining a good water supply was mandatory . 

"The great feeling of accomplishment and the 
satisfaction of knowing we brought cures, comfort and hope 
to so many is forever in my mind, " said Keller. "The 
Cameroonians gave me the most wonderful gift — 
themselves . " 


Headline: Jacksonville administrator earns service award 
By J03 LeaVonda Battle, Naval Hospital Jacksonville 

JACKSONVILLE, Fla. - An administrator at Naval Hospital 
Jacksonville received recognition from the American College 
of Healthcare Executives, or ACHE, for his contributions to 
healthcare management excellence . 

Cmdr. Bill Kinney, MSC, director for administration for 
Naval Hospital Jacksonville was evaluated by the ACHE for 
his leadership ability, innovative management and 
contributions to the development of others in the heathcare 
profession . 

The ACHE is an international professional organization 
of 30, 000 healthcare executives in both civilian and 
military healthcare facilities . It is widely recognized 
for its educational programs, providing credential for 
professionals in healthcare management and for its public 
policy programs. 

Kinney's accomplishments for the past year included 
developing a study group for local officers to prepare for 
the ACHE Board of Governors Exam, and as an instructor for 
the Army-Baylor masters degree program, he recently crafted 
an agreement with the University of North Florida to 
sponsor healthcare administration interns. 

In late March, Kinney was surprised at formation when 
Capt. Barbara Vernoski, NC, the hospital' s commanding 
officer, presented him with the American College of Health 
Care Executives (ACHE), "2000 Navy Regent's Senior-Level 
Career Healthcare Executive Award. " 

"To be recognized by such a prestigious organization is 
a great honor. To receive it in the presence of my 
colleagues makes it more memorable, " said Kinney. 


Headline: Anthrax question and answer 
From Bureau of Medicine and Surgery 

Question: How is the anthrax vaccination policy applied? 

Answer: In November 1993, DoD established the policy, 
responsibilities and procedures for stockpiling vaccines 
and determined which personnel should be vaccinated and 
when the vaccines should be administered. The policy, DoD 
Directive, 6205.3, Immunization Program for Biological 
Warfare Defense, specifically states that personnel 
assigned to high-threat areas and those pre-designated for 
immediate contingency deployment to these areas (such as 
personnel in units with planned early deployment dates in 
support of operations in high-threat areas) should be 
vaccinated in sufficient time to develop immunity before 
deployment . 

The "One Day Policy, " implemented March 30, 1999, 
requires all U.S. military personnel and DoD and USCG 
civilian employees and contractor personnel designated as 
"emergency essential " assigned, deployed or on temporary 
duty to high-threat areas and contiguous waters of 
Southwest Asia (Kuwait, Saudi Arabia, Bahrain, Jordan 

Qatar, Oman, the United Arab Emirates (UAE) , Yemen, and 
Israel) and the Korean Peninsula for any period of time to 
be vaccinated against anthrax. 

For more information visit the Navy medical anthrax 
website at http: //www— 
or the DOD anthrax website at 


Headline: TRICARE question and answer 
From Bureau of Medicine and Surgery 

Question: Can my son or daughter, who is away from home 
at college, enroll in TRICARE Prime at his college if the 
option is available there? 

Answer: For active duty families your son or daughter 
may enroll in TRICARE Prime as an individual if the option 
is offered in his or her geographic area. Retiree's and 
their family members will have the option of split 
enrollments (enroll as a family in one region and pay one 
fee but be able to receive care for children in school in a 
different region) . 

For more information, visit the TRICARE website at 
http: //www. . 


Headline: Healthwatch: DoD to phase out smoking at 
recreation facilities 

By Linda D. Kozaryn, American Forces Press Service 

WASHINGTON April 14, 2000 — DoD is expanding its 
smoking ban to include clubs, bowling alleys and other 
morale, welfare and recreation facilities . 

"We want to provide smoke— free facilities across the 
Department of Defense, " said Sherri Goodman, deputy 
undersecretary of defense for environmental security. "We 
started with the workplace, and now we 've expanded to cover 
our morale, welfare, and recreational facilities as well, " 
she said during an interview here April 12. 

"We want to make sure that people who are using any DoD 
facilities have an opportunity to do so in a smoke— free 
environment , " Goodman said. She added that smoking is 
already prohibited in DoD facilities for children. 

An estimated 34 percent of the nation's 1.4 million 
service members smoke, according to DoD officials . The 
Department banned smoking in all workplaces in 1994; DoD 
excluded living and recreation areas, however. 

By December 2002, all DoD facilities will be smoke-free, 
Goodman said. Smoking will only be allowed in designated, 
separately ventilated smoking areas. DoD officials are 
providing a three-year phase-in period to give the 
facilities adequate time to make those changes. 

"Some in the military departments were ready to do it 
even sooner, " she said. "Many installations are already 
moving to provide separately ventilated smoking areas. " 

DoD wants "to do the right thing, " Goodman stressed. 
"We want to make sure we protect our people, maintain 

readiness and provide a healthy environment . " 

Smoking and secondhand smoke, she noted, pose serious 
health risks and present considerable health costs to the 
military. "We would like people to stop smoking, " she said. 
"We go to great lengths to protect the health and safety of 
our military, and this is certainly one aspect of it . " 

"I think now families will feel free to bring their 
children, for example, into all MWR facilities, whether 
it's a bowling alley or a club, and know that there will be 
a place that will be smoke- free for their family members , " 
she said. "I believe that is very important because our 
MWR facilities should be available to all military 
families . " 

In 1997, President Clinton banned smoking in all 
interior space owned, rented or leased by the federal 
executive branch in 1997. Smoking is only allowed in 
designated areas that have special ventilation and smoke- 
containment features. 

In December, under the provisions of the president 's 
executive order. Defense Secretary William S. Cohen 
approved "a limited and narrow" exception to allow a three- 
year phase-in period for certain MWR facilities . A DoD 
Instruction on the policy exception is due to reach the 
field this summer. 

Since many MWR facilities are not equipped with the 
special features necessary, he said, an immediate ban 
"would negatively effect service members ' morale at a time 
when we are asking them to bear historically high 
operations tempo levels. " 

Installation commanders are to determine which 
facilities should receive the benefit of the phase-in 
period. In the meantime, however, those facilities must 
maintain separate smoking and nonsmoking areas. 

"Although nonsmoking is our strong policy preference, 
it is important for our MWR activities to be seen as 
available and accommodating for all service members, 
including those who smoke, " Cohen stated in a policy letter 
dated Dec. 7, 1999. 


Comments about and ideas for MEDNEWS are welcome. Story 
submissions are encouraged. Contact MEDNEWS editor. Earl 
W. Hicks, at email:; Telephone 
202/762-3223, (DSN) 762-3223, or fax 202/762-3224.